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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

I also tested positive for TB and this is not rare. My doc gave me a chest x-ray, and I was fine. Lots of people have been exposed to it. Especially if you have been travelling or work in a human services field, where you are exposed to lots of people. I hope your follow up appointments find nothing to be concerned about.

"I'm not keen on the idea of the afterlife - not without knowing who else will be there and what the entertainment will be. Personally I'd rather just take a rest." Oscar Berger, PWA: Looking AIDS in the Face, 1996. RIP.

Dear Zephyr,Here, in Spain and Portugal we have may cases of TB. I think we are the number one in Europe in TB cases...Not something to be very proud of. But as far as I know TB can be cured. The treatment is long but successful. With your high ccd4 count and your undetectable viral load I don't see any reason why you shouldn't do well.Planes are one of the best places to catch TB. Maybe I will be the next one.

What tests have you had done so far?...if you have only had a skin test that has come back positive this could mean you have a TB infection, more tests would need to be done to determine if you actually have a TB disease...either way you really need to talk to your Doctor, because treatment depends on whether or not you have an active TB disease or if it's only TB infection...sorry to hear this and sorry I can't be of more help to you.

Thank you, each one of you, for your kind & supportive responses. Tomorrow I have an appointment with my new HIV doc in Riverside County, CA, late in the afternoon.

Oddly enough, a chest x-ray was taken as part of my intake process three weeks ago, and that showed a 'clear' result. I guess the next step for me is the phlegm test, and I'm unsure about how quickly those results can happen.

I also need to contact my previous physician up north to ask when my last PPD test was; it was relatively recent, I think, and a definite negative. So, I'm wondering out loud whether this 'exposure' happened last year, when I travelled over 24,000 air miles for research trips (and countless planes), or even this year, when I flew to UC Davis in May to enroll in their GUT Study, or, most recently, when I flew to Boston to visit Dr. Walker end of May/beginning of June.

There have been other changes in my health status over these past few months, but I will perhaps share some of that at a later date, when I am not so stressed about this current issue.

As I said to Paul (chefpaul) last week, I guess TB is another item to get educated about, so that I may help someone in the future based on my experience now.

And, I want to thank our Danny (allaboutfosse) for encouraging Zeph to pop back into the Forums, still the best darn place for information and community support on the internet.

Wonderful to hear from several 'old' friends here, as well as 'new' ones...bless you! I promise to update you as this story unfolds.

So, I'm wondering out loud whether this 'exposure' happened last year, when I travelled over 24,000 air miles for research trips (and countless planes), or even this year, when I flew to UC Davis in May to enroll in their GUT Study, or, most recently, when I flew to Boston to visit Dr. Walker end of May/beginning of June.

No matter how many miles you log, where you go, who you see or what the reason, (and there are certainly those among us who fly many more than 24,000 miles for myriad reasons)...you can always wear a mask, that's what I do. You've had the exposure, but you can now protect yourself from other exposures of different sorts by using masks. Just think of it as putting a condom on your face!

Given that tuberculosis usually requires prolonged close contact for transmission of infection from person to person and your most recent change in lifestyle in these last few months is a new beau---has he been tested recently for TB?

If your chest x-ray was clear 3 weeks ago and you are not having any symptoms of active disease (cough, coughing up blood, weight loss, night sweats, fever), then you likely have latent TB infection. This means that while you did get infected, you are not infectious to others. Treatment of latent TB infection with 9 months of isoniazid (INH) is recommended in people with concomitant HIV infection because the risk of reactivating (i.e., turning from latent infection to active disease) at some point later is higher than in someone without HIV (10% per year risk vs. 10% lifetime risk). If you had a negative skin test as well within the past 2 years, this may mean that you are a recent converter; i.e., the exposure and infection happened fairly recently. In this situation, INH treatment is also recommended because the risk of reactivation is higher with recent converters than someone who has had it for many years and has not reactivated. Liver monitoring is needed when one is on INH treatment. Supplemental vitamin B6 is also recommended with INH to reduce the risk of INH-induced neuropathy.

The CDC has an exhaustive website on TB infection and control, including treatment of Latent TB Infection:

So, yes and sadly, I am a carrier of latent TB, time of exposure unknown. For the next 9 months, I will take a 300 mg daily dose of ISONIAZID (eye-soe-NYE-a-zid) with a chaser of Vitamnin B-6 to inhibit the known side affect of peripheral neuropathy.

I went into my appointment yesterday with the hardcopies of the TB Lessons from this site, and my new doctor and I had a lenghty discussion about my lack of additional symptoms so aptly described in this thread by our good friend Gerry, above, and I felt assured that another blood test or sputum test were unecessary.

What's got me so rattled in all of this is learning I should have been tested for TB each year. As pro-active as I am about my health, and my health-care, somehow this important piece of information slipped by me. I was under the care of the same HIV physician for 13 years, after all, and when I called their office up in Sacramento yesterday morning, they showed no record of a TB test. Not to mention these past two years of viligant trips to four separate research entities, no mention there, either.

DAMN!

Yet another reminder to all of us to be alert, be educated, and request the test if it's not being offered by your medical professional.

Em, you are correct about the beau getting tested, as well as his son who lives with us. Other friends have suggested that the exposure is due to my living in Southern California since February, and it leads me to investigate the stats on prevelance of TB in this county.

Again, I truly appreciate everyone chiming in on this, you have all made me feel a lot better. Thanks.

Right now, I'm going to make a cup of tea and stare at the Lake for a while. My head is spinning, I need to center.